Abstract
We report a case of adult Burkitt lymphoma of the ileocecum. A 21-year-old man, complaining of left lower abdominal pain and vomiting and being inserted a long tube with a diagnosis of intestinal obstruction, was transferred to the hospital. Colonoscopic examination revealed a tumor of the ileocecum, and the histological diagnosis was Burkitt lymphoma. Right hemicolectomy and extended lymphadenectomy were performed. A microscopic study of the resected specimen showed a starry sky appearance. The histological diagnosis was non-Hodgkin lymphoma, compatible with Burkitt lymphoma. Cytogenic analysis showed specific translocation, t (8;22) (q24;q11). On the 7th day after the operation, he was referred to other hospital for chemotherapy. Chemotherapy and bone marrow transplantation in other hospital resulted in complete remisson of the disease.
In a review of the literature, a total of eight patients with Burkitt lymphoma of the rectum and colon, including ours, have been reported. Most of the patients underwent surgery as well as chemotherapy but had a poor prognosis. However, this patient was able to recover from the disease by surgery and postoperative chemotherapy. We would emphasize the importance of extensive resection of the tumor and intensive postoperative chemotherapy for Burkitt lymphoma.
